Displaying 221991-222000 of 1611142 results.
ID:
221991
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221992
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221993
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221994
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221995
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221996
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221997
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221998
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221999
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222000
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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